Which clinical history findings are characteristic of extramedullary plasmacytoma (EMP)?

Extramedullary plasmacytoma (EMP) presents as a mass growing in the aerodigestive tract in 80-90% of patients, often with spread to lymph nodes, although other sites are affected as well. Common complaints include the following
[12, 24, 25, 26] :

Headache

Nasal discharge

Epistaxis

Nasal obstruction

Sore throat

Hoarseness

Dysphonia

Dysphagia

Dyspnea

Epigastric pain

Hemoptysis

Gastrointestinal EMPs can present as loss of appetite, bleeding, and abdominal discomfort or obstruction.
[11]

Symptoms from EMP in other tissues are associated with the site of the tumor, tumor size, and compression and/or involvement of the surrounding structures.

EMP involving the lung most commonly presents as a pulmonary nodule or hilar mass.

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